HomeMy Public PortalAbout9242 PENTLAND ST_Plumbing__ (2) DOS 17TO,N% APPLICATION FOR PLUMBING PERMIT 1
DWISION OF BUILDING AND SAFETY
Dopcatmoat of County Engmeer
County of Los Angeles BUILDING7JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN, SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER C��
MAIL vl% 1 DISTRICT NO GROUP I ZONE I READY FOR INSPECTION
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ADDRESS K 4/
CITY EL NO el d INDUSTRIAL
WASTEAPPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) Q $1 00 S
BATH TUB Q $1 00
SHOWER Q $1 00
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK Q $100
DISHWASHER Q $1 00
LAUNDRYTUB OR TRAY @ $100
CLOTHES WASHER @ $1 00
ER E
WATHATER QD $I 00
GAS SYSTEM Q $100
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APPROVALS
— I tN
DATE INS ECTOR S SIGNATURE
UNDER SLAB WORK 4 7a1 s-
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL ROPERTY
SIGNATURE
OF PERM ITTEE F FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CC M 0 l
17586-� APR 26 3 200 In